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Get WI DNR 3300-005 2015-2024

Eceived (mm/dd/yyyy) Telephone Number ( City State ZIP Code Noted By Comments ) Signature of Person Doing Work Date Signed Well / Drillhole / Borehole Filling & Sealing Report Form 3300-005 (R 4/2015) Page 2 of 2 Instructions Well Filling and Sealing Wisconsin Administrative Code (NR 811, NR 812, and NR 141 requires well owners to permanently fill and seal any unused wells/ drillholes/boreholes on their property. As of June 1, 2008 water supply wells can only be filled and sealed by l.

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